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3-2 Milestone One: Draft of Introduction
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Introduction
A. A summary of the hospital issues:
Memorial Hospital is based in Manchester County, which is known as the largest trauma
hospital. Presently, this hospital consists of 6 surrounding outpatient and specialty clinics along
with 1,100 beds in the main hospital. It has been found that the present largest trauma hospital in
Manchester County is experiencing problems while coordinating the care with its patients and
sharing information with them throughout the care cycle. Even Memorial Hospital is not getting
the patient’s track records until the patient is not visiting the hospital again. Also, the hospital is
experiencing a problem in retrieving the patient’s medical information like tests received,
comorbidities, past medical history, current medications, and many others. If a new trauma patient
is getting admission or transferred, then the hospital does not have the proper information. These
hospital issues have brought more challenges for the hospital in the present context, including
increased medication errors, decreased patient satisfaction, delays in diagnoses, duplicate tests,
and more hospital readmissions.
B. The information and data should be exchanged between organizations:
As the Memorial Hospital is going through many issues, it has planned to create a new
community-wide health information exchange (HIE) network or build the Manchester Health
Access Network (MHAN) that can help to govern the entire local community public health topic.
Here, HIEs frequently work with communities directly to provide secure health-related
information through electronic sharing. This system helps in transferring health information by
conducting digital access at either a national, regional, or state level (Sorkin, 2021). For instance,
the hospital can share or exchange clinical information such as allergies, current medication, test
results, and other clinical information that are vital to health care. Moreover, certain demographic
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information related to the individual's identity, such as an address, name, and birth date, might also
be exchanged (Health Information Exchange (HIE) - ahima. Health Information Exchange (HIE),
2021).
C. The information and data should not be exchanged between organizations:
While using the health information exchange (HIE) network, the Memorial Hospital needs to
also understand the pros and cons of the network. Though the HIEs are helping the hospital by
easing their workload, there is much information that the hospital needs not to share or exchange
with other organizations. These HIEs have some barriers: security concerns, the need for
standards, federated systems, and economic loss to competitors (Edwards et al., 2010). Here,
exchanging patient information can help the service providers to avoid medication errors, reduce
readmissions, and decrease duplicate testing, but the hospital needs to look into state privacy rules
and HIPAA regulations that do not harm the patient's information.
D. The implementation of the health information exchange (HIE) model:
The health information exchange (HIE) usually permits pharmacists, doctors, nurses, patients,
and other health care providers to securely access and exchange vital medical information of the
patients by improving the cost of patient care, speed, safety, and quality (What is Hie?
HealthIT.gov, 2020). There are different forms of health information exchange such as directed
exchange, query-based exchange, and consumer-mediated exchange. Among them, the present
hospital must implement the directed exchange health information exchange (HIE) model where
the health care providers can securely share or exchange the data of the patients with other
healthcare providers directly. This model has given priority because the two healthcare providers
can exchange the data more securely where the presence of trust factor can be witnessed.
E. The extraction of data from the health information system:
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The data can be extracted from the health information system based on the directed exchange
HIE model. Here, the health care service provider can use the directed exchange model to securely
send and receive the health information that includes non-clinical staff, clinicians, public health
agencies, registry or quality reporting organizations, local health departments, and laboratories.
The data extraction process is directed exchange model include secure internet collaboration
platforms, web-services exchange standards, secure messaging applications, direct technical
standards, and point-to-point interfaces (What is Hie? HealthIT.gov, 2020). f
F. Analysis of data in the HIE network to improve patient outcomes:
Healthcare professionals, policymakers, and the healthcare industry have identified that a
proper solution to improve the overall quality of care and patient safety is Health Information
Exchange (HIE) (Hincapie & Warholak, 2011). Here, the healthcare provider can pair HIE data
with DOS that can provide advantages like machine learning, workflow, data governance, and
professional services. Similarly, the patient’s health outcome data can be improved.
References
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Edwards, A., Hollin, I., Barry, J., & Kachnowski, S. (2010). Barriers to cross--institutional health
information exchange: a literature review. Journal of healthcare information management:
JHIM, 24(3), 22-34.
Health Information Exchange (HIE) - ahima. Health Information Exchange (HIE). (2021).
Retrieved November 13, 2021, from https://bok.ahima.org/PdfView?oid=104129.
Hincapie, A., & Warholak, T. (2011). The impact of health information exchange on health
outcomes. Applied clinical informatics, 2(04), 499-507.
Sorkin, C. (2021). What is Health Information Exchange (HIE)? Wheel. Retrieved November 13,
2021, from https://www.wheel.com/companies-blog/what-is-health-information-exchange-
hie.
What is Hie? HealthIT.gov. (2020, July 24). Retrieved November 13, 2021, from
https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-
hie#:~:text=Electronic%20health%20information%20exchange%20(HIE,and%20cost%20
of%20patient%20care.
